Health Affairs May 10, 2017
Primary care in the United States is in crisis for a number of reasons. An increasing percentage of our workforce is experiencing burnout, and reimbursement for primary care is insufficient to provide needed services for patients and adequate compensation for primary care teams. Additionally, funding shortfalls and payment mechanisms hinder transformation that improves value, even as policy makers look to primary care to drive value in health care.
In this context, there is much to learn from the experience of Rhode Island’s statewide payment innovation model and the Center for Medicare and Medicaid Innovation (CMMI). Each has supported primary care transformation, and their work demonstrates the need to both consider the size of the investment and the time it may...
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